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psnet.ahrq.gov/issue/did-organization-primary-care-practices-during-covid-19-pandemic-influence-quality-and-safety
January 08, 2025 - Study
Did the organization of primary care practices during the COVID-19 pandemic influence quality and safety? - an international survey.
Citation Text:
Eriksson M, Blomberg K, Arvidsson E, et al. Did the organization of primary care practices during the COVID-19 pandemic influence qual…
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psnet.ahrq.gov/issue/exploring-role-guidelines-contributing-medication-errors-descriptive-analysis-national
November 16, 2022 - Study
Exploring the role of guidelines in contributing to medication errors: a descriptive analysis of national patient safety incident data.
Citation Text:
Jones MD, Liu S, Powell F, et al. Exploring the role of guidelines in contributing to medication errors: a descriptive analysis of …
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psnet.ahrq.gov/issue/use-pediatric-injectable-medicines-guidelines-and-associated-medication-administration-errors
December 18, 2019 - Study
Use of pediatric injectable medicines guidelines and associated medication administration errors: a human reliability analysis.
Citation Text:
Jones MD, Clarke J, Feather C, et al. Use of pediatric injectable medicines guidelines and associated medication administration errors: a h…
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psnet.ahrq.gov/issue/effect-work-hours-regulations-intensive-care-unit-mortality-united-states-teaching-hospitals
August 20, 2018 - Study
Effect of work-hours regulations on intensive care unit mortality in United States teaching hospitals.
Citation Text:
Prasad M, Iwashyna TJ, Christie JD, et al. Effect of work-hours regulations on intensive care unit mortality in United States teaching hospitals. Crit Care Med. 2…
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psnet.ahrq.gov/issue/evaluating-independent-double-checks-pediatric-intensive-care-unit-human-factors-engineering
October 07, 2013 - Study
Evaluating independent double checks in the pediatric intensive care unit: a human factors engineering approach.
Citation Text:
Konwinski L, Steenland C, Miller K, et al. Evaluating independent double checks in the pediatric intensive care unit: a human factors engineering approach…
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psnet.ahrq.gov/issue/comparing-va-and-non-va-quality-care-systematic-review
May 15, 2024 - Review
Comparing VA and Non-VA quality of care: a systematic review.
Citation Text:
O'Hanlon C, Huang C, Sloss E, et al. Comparing VA and Non-VA Quality of Care: A Systematic Review. J Gen Intern Med. 2017;32(1):105-121. doi:10.1007/s11606-016-3775-2.
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psnet.ahrq.gov/issue/patients-experiences-and-perspectives-patient-reported-outcome-measures-clinical-care
October 27, 2021 - Review
Patients' experiences and perspectives of patient-reported outcome measures in clinical care: a systematic review and qualitative meta-synthesis.
Citation Text:
Carfora L, Foley CM, Hagi-Diakou P, et al. Patients’ experiences and perspectives of patient-reported outcome measures i…
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psnet.ahrq.gov/issue/family-input-quality-and-safety-fiqs-using-mobile-technology-hospital-reporting-families-and
November 24, 2021 - Study
Family Input for Quality and Safety (FIQS): using mobile technology for in-hospital reporting from families and patients.
Citation Text:
Bardach NS, Stotts JR, Fiore DM, et al. Family Input for Quality and Safety (FIQS): Using mobile technology for in‐hospital reporting from famili…
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psnet.ahrq.gov/issue/accuracy-computer-generated-spanish-language-medicine-labels
March 01, 2023 - Study
Accuracy of computer-generated, Spanish-language medicine labels.
Citation Text:
Sharif I, Tse J. Accuracy of computer-generated, spanish-language medicine labels. Pediatrics. 2010;125(5):960-5. doi:10.1542/peds.2009-2530.
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psnet.ahrq.gov/issue/design-and-impact-novel-surgery-specific-second-victim-peer-support-program
March 09, 2022 - Study
Emerging Classic
Design and impact of a novel surgery-specific second victim peer support program.
Citation Text:
El Hechi MW, Bohnen JD, Westfal M, et al. Design and Impact of a Novel Surgery-Specific Second Victim Peer Support Program. J Am Coll Surg. 2…
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psnet.ahrq.gov/issue/electronic-health-record-related-events-medical-malpractice-claims
April 03, 2018 - Study
Classic
Electronic health record–related events in medical malpractice claims.
Citation Text:
Graber ML, Siegal D, Riah H, et al. Electronic Health Record-Related Events in Medical Malpractice Claims. J Patient Saf. 2019;15(2):77-85. doi:10.1097/PTS.000000…
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psnet.ahrq.gov/issue/social-cost-adverse-medical-events-and-what-we-can-do-about-it
February 10, 2015 - Commentary
The social cost of adverse medical events, and what we can do about it.
Citation Text:
Goodman JC, Villarreal P, Jones B. The social cost of adverse medical events, and what we can do about it. Health Aff (Millwood). 2011;30(4):590-595. doi:10.1377/hlthaff.2010.1256.
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psnet.ahrq.gov/issue/identifying-and-classifying-diagnostic-errors-acute-care-across-hospitals-early-lessons
April 12, 2023 - Study
Identifying and classifying diagnostic errors in acute care across hospitals: early lessons from the Utility of Predictive Systems in Diagnostic Errors (UPSIDE) study.
Citation Text:
Dalal AK, Schnipper JL, Raffel K, et al. Identifying and classifying diagnostic errors in acute car…
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psnet.ahrq.gov/issue/association-opioid-related-adverse-drug-events-clinical-and-cost-outcomes-among-surgical
March 12, 2014 - Study
Classic
Association of opioid-related adverse drug events with clinical and cost outcomes among surgical patients in a large integrated health care delivery system.
Citation Text:
Shafi S, Collinsworth AW, Copeland LA, et al. Association of Opioid-Related …
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psnet.ahrq.gov/issue/multi-facetted-patient-safety-resource-qualitative-interview-study-hospital-managers
September 20, 2023 - Study
A multi-facetted patient safety resource--a qualitative interview study on hospital managers' perception of the nurse-led Rapid Response Team.
Citation Text:
Axelsen MS, Baumgarten M, Egholm CL, et al. A multi‐facetted patient safety resource—a qualitative interview study on hospit…
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psnet.ahrq.gov/issue/views-and-experiences-patients-and-health-care-professionals-disclosure-adverse-events
August 25, 2021 - Review
The views and experiences of patients and health-care professionals on the disclosure of adverse events: a systematic review and qualitative meta-ethnographic synthesis.
Citation Text:
Sattar R, Johnson J, Lawton R. The views and experiences of patients and health‐care professiona…
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psnet.ahrq.gov/issue/adverse-drug-events-among-hospitalized-medicare-patients-epidemiology-and-national-estimates
April 05, 2016 - Study
Adverse drug events among hospitalized Medicare patients: epidemiology and national estimates from a new approach to surveillance.
Citation Text:
Classen D, Jaser L, Budnitz DS. Adverse drug events among hospitalized Medicare patients: epidemiology and national estimates from a new…
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psnet.ahrq.gov/issue/increased-patient-safety-related-incidents-following-transition-daylight-savings-time
May 19, 2021 - Study
Increased patient safety-related incidents following the transition into Daylight Savings Time.
Citation Text:
Kolla BP, Coombes BJ, Morgenthaler TI, et al. Increased patient safety-related incidents following the transition into Daylight Savings Time. J Gen Intern Med. 2020;36(1):…
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psnet.ahrq.gov/issue/computerized-physician-order-entry-clinical-decision-support-long-term-care-facilities-costs
March 29, 2010 - Review
Computerized physician order entry with clinical decision support in long-term care facilities: costs and benefits to stakeholders.
Citation Text:
Subramanian S, Hoover S, Gilman BH, et al. Computerized physician order entry with clinical decision support in long-term care fac…
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psnet.ahrq.gov/issue/potentially-inappropriate-medications-defined-stopp-criteria-and-risk-adverse-drug-events
April 22, 2015 - Study
Classic
Potentially inappropriate medications defined by STOPP criteria and the risk of adverse drug events in older hospitalized patients.
Citation Text:
Hamilton H, Gallagher P, Ryan C, et al. Potentially inappropriate medications defined by STOPP crit…